City University of Hong Kong
Student Residence (Cornwall Street)
Multi-Function Halls Booking Form
(For CityU Users)
Ref. No.:________________
Important Notes:
(1) This application will be considered by the Student Residence Office. Applicants will be informed of the application results
within 5 working days after submitting applications, a fee settlement notification will be given if required.
(2) Please read the Regulations for the Use of MFH before completing this application form.
(3) Copy of the approved application will be sent to applicant.
(4) Please bring the approved form to the Security Office of CityU Student Residence on the day of booking.
(5) Notice of cancellation should be made by e-mail at sro@cityu.edu.hk 3 working days before the commencement of booking.
Particular of Applicant
Name of Applicant:
Dept/Hall & Room No.:
Tel/Ext:
Staff/Student No.(if applicable):
Email:
Details of Function
Title of Function:
Details of Booking:
Date:
Nature:
Time:
Seminar/Talk
Meeting
8:30-13:30
13:30-18:30
18:30-22:30
(Max. 2 sessions are given for each function)
Exhibition
Symposium/Conference
Others, please specify:
Estimated No. of Participants: CityU staff:
Venue required:
Residents:
Multi-function Hall A (
Multi-function Hall B (
Multi-function Hall C (
Zone 1
Zone 1
Zone 1
CityU students:
Outsiders:
Zone 2)
Zone 2)
Zone 2)
*Zone 3 (MFH B) is equipped for residents’ catering. A special request has to be made to SRO for using this zone.
Please indicate “ √ ” if alcoholic beverages and/or food will be served during your function:
Food
Alcoholic Beverages
Please indicate “ √ ” if any of the following aspects apply to function:
Involve welfare sales
Fee-charging activity
Fund-raising activity
Sponsored goods provided
Profit-making function
Non-University function
Furniture and Equipment Loan:
Yes (Please fill in the “Furniture and Equipment Loan Form” at Security Office on the day of booking.)
No
Please note that the applicant will be required to arrange moving, setting and returning furniture and/or equipment, cleaning the Hall
and restoring the Hall(s) to original setting(s).
I undertake that the participant of the activity will comply with all regulations and conditions set out for the use of the Multi-Function
Halls of the Student Residence and will take full responsibility in the event of any violation of the regulations and conditions and any
accidents howsoever caused.
Signature of Applicant/Chop of Society
Name & Signature of Residence Tutor or
Residence Master (if applicable)
Date
*Bookings raised by individual residents should be endorsed by respective Residence Tutor or Residence Master.
Confirmation of Booking (to be completed by SRO)
Rejected, reason
Confirmed by:__________________________________________________Date:
For office use: (c.c.)
 Chart-marking  Security Office
 Security (H7)
 Security (H8)
 Cleaner
 Applicant
SRO/1.1.08